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Robotic assisted thoracoscopic right upper lobectomy for post tuberculosis aspergilloma
Ali Zamir Khan1, Kamran Ali1, Shaiwal Khandelwal1
1Department of Thoracic Surgery, Medanta the Medicity Hospital, Gurgaon, India.
Journal of Visualized Surgery
|October 29, 2017
Summary
Robotic resection is a viable minimally invasive option for treating pulmonary aspergilloma, a fungal lung infection. This approach offers excellent visualization and dexterity for safe and effective lung surgery.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Infectious Diseases
Background:
- Minimally invasive lung resection techniques are underutilized for non-oncologic conditions, particularly fungal infections.
- Pulmonary aspergilloma, a fungal infection of the lung, presents unique surgical challenges.
Purpose of the Study:
- To demonstrate the feasibility and outcomes of robotic-assisted pulmonary aspergilloma resection.
- To highlight the benefits of robotic surgery in complex, non-oncologic lung resections.
Main Methods:
- A 55-year-old male with recurrent hemoptysis underwent robotic resection of a right upper lobe post-tuberculosis aspergilloma.
- Preoperative treatment included antitubercular drugs and systemic antifungals.
- A 4-arm DaVinci Robot system was utilized for the surgical procedure.
Main Results:
- The robotic resection procedure had an operative time of 188 minutes and a blood loss of 560 mL.
- Postoperative chest X-rays confirmed complete lung expansion.
- The patient received comprehensive antifungal and antitubercular therapy.
Conclusions:
- Robotic resection of the lung is technically feasible and yields good clinical outcomes for infective pathologies like pulmonary aspergilloma.
- The robotic system provides superior 3D visualization and dexterity, facilitating safe dissection and precise anatomical resection.